Mp70-15 Active Surveillance (As) in a Predominantly Hispanic/Latino Population, Is It a Viable Option?

You have accessJournal of UrologyDiversity, Equity & Inclusion: Health Equity & Outcomes III (MP70)1 May 2024MP70-15 ACTIVE SURVEILLANCE (AS) IN A PREDOMINANTLY HISPANIC/LATINO POPULATION, IS IT A VIABLE OPTION? Herik Rodrigo Acosta Gonzalez, Shirin Razdan, Sneha V. Parekh, and Sanjay Razdan Herik Rodrigo Acosta GonzalezHerik Rodrigo Acosta Gonzalez , Shirin RazdanShirin Razdan , Sneha V. ParekhSneha V. Parekh , and Sanjay RazdanSanjay Razdan View All Author Informationhttps://doi.org/10.1097/01.JU.0001008796.84999.75.15AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Undertreatment of low-risk prostate cancer using active surveillance (AS) has been discussed and incorporated in guidelines. Shared decision should be practiced considering cultural aspects and socio-economic barriers. We present the temporal progression of prostate cancer in patients on AS in a predominantly Hispanic/Latino population. METHODS: After Institutional Review Board approval, we performed a prospective analysis of prostate cancer patients undergoing robotic prostatectomy (RALP) at a single high-volume institute. The study included 200 Hispanic/Latino men in South Florida from July 2018 to July 2023, who were diagnosed with prostate cancer and opted AS. A survey assessed their baseline knowledge of prostate cancer and compared the stage progression of the disease in this cohort. RESULTS: We found that 60% of patients who were on AS presented with more advanced disease and higher NCCN group risk classification on subsequent follow-up before definite treatment (Table 1). Out of 200 patients, 83 (41.5%) already had locally advanced disease (T3N0M0) and 37 (18.5%) had metastasis. The underlying etiology was lack of compliance due to migration in 30 patients (15%), underestimating the severity of the disease in 110 (55%), waiting for divine intervention or alternative medicine in 60 (30%). Patients over 70 years had lower knowledge compared to 60 or younger (odds ratio [OR]: 4.7, 95% CI: 1.6 - 13.9). Men with no formal education had lower scores on the questionnaire (Table 2) than those with higher education (OR: 0.28, 95% CI: 0.10 - 0.78). Lastly, 10 or more years of living in the United States was associated with higher scores when compared to 1 or fewer (odds ratio [OR]: 0.82, 95% CI: 0.28 - 2.46). CONCLUSIONS: In Hispanic/Latino with low literacy, AS should be carefully selected with a rigorous follow-up protocol after proper holistic assessment. Source of Funding: None © 2024 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 211Issue 5SMay 2024Page: e1134 Advertisement Copyright & Permissions© 2024 by American Urological Association Education and Research, Inc.Metrics Author Information Herik Rodrigo Acosta Gonzalez More articles by this author Shirin Razdan More articles by this author Sneha V. Parekh More articles by this author Sanjay Razdan More articles by this author Expand All Advertisement PDF downloadLoading ...